2018 Reds Rookie Success League

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2018 Reds Rookie Success League Butler County Program – Waterworks Park Participant Application Permission & Release Form A FREE, two week* program for underserved children and families who would not normally be able to afford this type of program. Register online at www.reds.com/redsrookie or by completing this application. Return completed application to Rodney Hubbard at 6599 Creekside Way, Hamilton, OH 45011. * Must commit to the entirety of the program Questions- Phone: (513) 300-6221, Email: [email protected]

Reds Rookie Success League is intended for children ages 7-13.This program will be held Monday, Tuesday, Wednesday, & Thursday Wednesdays from 10:00 am until 1:00 pm beginning June 11th and ending June 21st at the Waterworks Park in Fairfield. A field trip day to a Reds game at Great American Ball Park will take place on June 20th with altered program times.

PARENT INFORMATION: Parent First Name: ______Parent Last Name: ______

Email: ______Gender: Male Female Home Address:______

City: ______State: Zip: ______Home/Cell Phone : ______Work Phone: ______

Email Updates from MLB: I would like to receive commercial emails from MLB.com, reds.com, and their partners Yes No DEMOGRAPHICS: ** The following information is necessary for our records and the funding our organization receives. The answers you provide are completely confidential. Your cooperation in providing this information is both appreciated and necessary. ** Member Lives With/Household Type (check all that apply) Household Income Both Parents Guardian under $10,000 Single Parent Family Grandparents $10,000-$19,999 Mother Extended Family $20,000-$29,999 Father Foster Family $30,000-$39,999 Other:______$40,000-$49,999 $50,000-$59,999 Number of Individuals Living in Household:______$60,000-$69,999 $70,000-$79,999 Is parent/guardian a member of the military? Yes No Veteran $80,000-$89,999 If yes or veteran , which branch? ______$90,000-$99,999 $100,000 or more Highest education level completed by a parent or guardian? Middle school/Jr. High High school Associate’s Degree Bachelor’s Degree Master’s Degree or Beyond

CHILD PROFILE INFORMATION: Child’s First Name: ______Child’s Last Name: ______

Gender: Male Female Birth Date: / / Age (As of June 1, 2018) : ______

Home Address:______City: ______State: Zip: ______

Ethnicity: Asian African American Caucasian Hispanic Native American Other

High School Graduation Year (20xx): ______Does your child qualify for free reduced-price meals at their school? Yes No Program not offered Choose not to answer

Has your child played on a baseball/softball team before? Yes No

What hand does your child bat with (usually dominant hand)?: Right Hand Left Hand Both What hand does your child throw with (usually dominant hand)?: Right Hand Left Hand Both

Has your child previously participated in the following Community Fund programs? (Please select all that apply) Reds Rookie Success League Reviving Baseball in Inner Cities (RBI Program) Match Program Reds Youth Academy Clinics (fall and winter) Reds Baseball Camps (reds.com/camps)

PROGRAM CONTACT:

The Reds Community Fund uses email as the PRIMARY source of communication for all pertinent information regarding our programs. What is the best email(s) to be included in these communications?

First Email: ______Second Email: ______

Third Email: ______

EMERGENCY CONTACT INFORMATION: Contact 1 Name: ______Relationship to Child: ______Home Address:______Home Phone: ______Work: ______Cell: ______

Contact 2 Name: ______Relationship to Child: ______Home Phone: ______Work: ______Cell: ______Contact 3 Name: ______Relationship to Child: ______

Home Phone: ______Work: ______Cell: ______

PROGRAM REGISTRATION INFORMATION:

Primary Parent Cell Number for Emergencies: ______Child’s Height in Inches: ______Child’s Weight (lbs):______Child’s Shoe Size:______Child’s School:______

T-Shirt Size: Youth Small Youth Medium Youth Large Youth XL Adult Small Adult Medium

Baseball/Softball Position (select one main answer. If unknown, selected flex) First Baseman Second Baseman Third Baseman Shortstop Left Field Center Field Right Field Designated Hitter Pitcher Catcher Infielder Outfielder Flex/Unknown

Please list your 2 preferred YMCA, Boys & Girls Club, Schools or Community Centers:

(This is the location where your child will be picked up and dropped off; the sites you list are not guaranteed to be

your ultimate pick-up location)

1. ______2. ______

3. _____Parent drop off

If you selected a Boys and Clubs Club or YMCA location, is your child registered for a program at that site? Yes No

Authorized to pick up members from the site: Please note: Emergency contacts and parents are automatically authorized to pick up children from the program. Only list other people who may be picking up participants. Name: ______Relationship: Phone: ______Name: ______Relationship: Phone: ______Name: ______Relationship: Phone: ______

afford this type of program. Register online at www.reds.com/redsrookie or by completing this application. Return completed application to Rodney Hubbard at 6599 Creekside Way, Hamilton, OH 45011. * Must commit to the entirety of the program Questions- Phone: (513) 300-6221, Email: [email protected]

CONDITIONS OF REGISTRATION: Emergency Medical Authorization Registration or entry into the Reds Rookie Success League program constitutes agreement to the following conditions:

Food Allergies no yes Please specify ______Please note that lunch will be provided each day of camp. If your child has special dietary needs/food allergies, you must send a lunch with them. Other Allergies no yes Please specify ______Medications no yes Please specify ______Medical Conditions, other Issues, or required assistive devices: ______

______My child needs an accommodation because of disability to participate in or enjoy the program. (If yes, you will be contacted for additional information.) no yes

Consent and Approval of Medical Treatment: In the event my child is in need of medical attention, I hereby give my consent for the administration of any treatment deemed necessary by a licensed physician and, if necessary, the transfer and treatment of my child to the nearest medical facility. **Signature of Parent/Guardian: ______Date:______/______/______OR REFUSAL of Medical Treatment: I do not give my consent for medical treatment of my child. In the event of illness or injury requiring, medical attention, the Cincinnati Reds Community Fund shall take no action, or (if specified) to take the following action (specify action to take):______

Signature of Parent/Guardian: ______Date:______/______/______

REDS ROOKIE SUCCESS LEAGUE FIELD TRIP: Event: Great American Ballpark Experience Where: Great American Ballpark (100 Joe Nuxhall Way Cincinnati, OH 45202) When: 10:00-3:00* (tentative timing) Wednesday, June 20th, 2018 Trip specifics (will send more accurate/detailed specifics home with children during the program): • All Reds Rookie recreational outlets / bus pick up points will be bused to GABP by 10:00 am, Wednesday, June 20th. • Bus routes may be changed to earlier this day and will be announced in advance of field trip date. • Kids, coaches, and staff in attendance must wear their Reds Rookie T-shirt so we can easily identify the large group. • Kids will leave the ballpark by 2:00 p.m. • Lunch will be provided for each participant. My child has my permission to attend the field trip to Great American Ballpark on June 20, 2018 (the “Field Trip”). I recognize that there are certain risks of injury as a result of my child’s participation in the Field Trip. I agree to assume the full risk of any injuries, damages or loss which my child may sustain as a result of participating in any and all activities connected with or associated with the Field Trip.

I do hereby fully release and discharge the Cincinnati Reds LLC, the Cincinnati Reds Community Fund, the City of Cincinnati, “MLB Entities”, the Cincinnati Recreation Commission, Boys and Girls Clubs of Greater Cincinnati, Cincinnati Public Schools, YMCA of Cincinnati, Batavia Township, Clermont Chamber of Commerce, NovaCare, City of Dayton, The City of Dayton Recreation and Youth Services, The Dayton Dragons, Action Sports Center, City of Louisville, The Louisville Bats, Jefferson County Metro Parks, City of Fairfield, Water Works Park, The Joe Nuxhall Character Education Foundation, Tri-Health, and the Cincinnati Reds LLC and the Reds Community Fund’s respective owners, affiliates, subsidiaries, members, directors, officers, employees, volunteers and agents (collectively, the “Released Parties”) from any and all claims from injuries, damage or loss which I may have or which may accrue to me on account of my child’s participation in the Field Trip.

I have read fully and fully understand this release form. I hereby execute this waiver and release on behalf of the named minor and represent and warrant that I am at least 18 years of agent and the parent or guardian authorized to execute this waiver and release on behalf of such minor.

**Signature of Parent/Guardian: ______Date:______/______/______

CONDITIONS OF REGISTRATION CONTINUED: LIABILITY RELEASE, WAIVER AND COVENANT NOT TO SUE I hereby represent and warrant that I am the parent/legal guardian of the child I am registering. I further represent and warrant that I am at least eighteen (18) years of age. My child is in good physical and mental health and does not suffer from any mental or physical condition or disability which may render his/her participation in the Reds Rookie Success League and associated activities, including all baseball activities and field trips (collectively the “Activities”), hazardous to myself or to others or which may impair his/her ability to participate in the Activities.

I further acknowledge and agree that none of the Released Parties (as defined below) has any obligation or responsibility to evaluate my child’s physical condition or any limitations associated with his/her participation in the Activities.

I UNDERSTAND AND AGREE THAT MY CHILD IS PARTICIPATING IN THE ACTIVITIES AT HIS/HER OWN RISK. ON MY BEHALF AND ON BEHALF OF MY CHILD, I EXPRESSLY ASSUME ALL RISK OF INJURY (INCLUDING PERMANENT DISABILITY AND DEATH) ARISING OUT OF HIS/HER PARTICIPATION IN THE ACTIVITIES, HOWSOEVER CAUSED OR ARISING AND ACCEPT PERSONAL RESPONSIBILITY FOR THE DAMAGES FOLLOWING ANY SUCH INJURY, PERMANENT DISABILITY OR DEATH.

In consideration of my child’s participation in the Activities, I hereby release, hold harmless, and agree to indemnify the Cincinnati Reds LLC, the Cincinnati Reds Community Fund, the City of Cincinnati, “MLB Entities”, the Cincinnati Recreation Commission, Boys and Girls Clubs of Greater Cincinnati, Cincinnati Public Schools, YMCA of Cincinnati, Batavia Township, Clermont Chamber of Commerce, NovaCare, City of Dayton, The City of Dayton Recreation and Youth Services, The Dayton Dragons, Action Sports Center, City of Louisville, The Louisville Bats, Jefferson County Metro Parks, City of Fairfield, Water Works Park, The Joe Nuxhall Character Education Foundation, Tri- Health, and the Cincinnati Reds LLC and the Reds Community Fund’s respective owners, affiliates, subsidiaries, members, directors, officers, employees, volunteers and agents (collectively, the “Released Parties”) from and against any and all claims, causes of action, or demands relating to or arising out of my child’s participation in the Activities.

"MLB Entities” means MLB Advanced Media, L.P. (“MLBAM”); the Office of the Commissioner of Baseball (“BOC”); its Bureaus, Committees, Subcommittees and Councils; The MLB Network, LLC, Major League Baseball Properties, Inc.; the Major League Baseball Clubs (“Clubs’) and each of their subsidiaries or affiliated entities; any entity which, now or in the future, controls, is controlled by, or is under common control with the Major League Baseball Clubs; and the owners, general and limited partners, shareholders, directors, officers, and employees and agents of the above entities.

IN ADDITION, ON MY BEHALF AND ON BEHALF OF MY CHILD, I HEREBY WAIVE ANY CLAIMS AGAINST THE RELEASED PARTIES THAT I MAY HAVE ARISING FROM MY CHILD’S PARTICIPATION IN THE ACTIVITIES. ON MY BEHALF AND ON BEHALF OF MY CHILD, I FURTHER COVENANT AND AGREE NOT TO SUE THE RELEASED PARTIES FOR ANY CLAIMS OR DAMAGES ARISING FROM MY CHILD’S PARTICIPATION IN THE ACTIVITIES. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

**Signature of Parent/Guardian: ______Date:______/______/______

USE OF LIKENESS I authorize the Cincinnati Reds Community Fund, The Cincinnati Reds LLC, the Cincinnati Recreation Commission, Boys and Girls Clubs of Greater Cincinnati, Cincinnati Public Schools, YMCA of Greater Cincinnati, to use my child’s voice and likeness in any media now known or hereafter created, worldwide in perpetuity without further compensation. The aforementioned parties are not obligated to use any of the above mentioned materials, but may do so and may edit such information of materials in respective their sole discretion, without further obligation or compensation. I have read fully and fully understand this release form. Before registration in this program is valid, this release form must be signed by the participant’s parent or legal guardian. **Signature of Parent/Guardian: ______Date:______/______/______

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